Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what assessment she has made of the potential impact of the new Electric Vehicle Excise Duty mileage charge from April 2028 on Electric Vehicle uptake.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The Government intends to create a fair motoring tax system while supporting the automotive industry and ensuring EVs remain an attractive choice for consumers.

As announced at Budget 2025, the Government is introducing Electric Vehicle Excise Duty (eVED) from April 2028, a new mileage charge for electric and plug-in hybrid cars, recognising that EVs contribute to congestion and wear and tear on the roads but pay no equivalent to fuel duty.

While it is fair for EV drivers to contribute for their car usage, the government is also committed to ensuring that driving an electric vehicle is an attractive choice for consumers. Therefore, the rate of eVED paid by electric vehicle drivers will be half the fuel duty rate paid by the average petrol/diesel driver, ensuring that it will still be cheaper to own and run an EV for the majority of EV drivers.

The Government is also providing generous additional support to incentivise the use of electric vehicles, including £1.3 billion of additional funding for the Electric Car Grant (ECG), £200 million for chargepoint rollout, and increasing the Expensive Car Supplement (ECS) threshold to £50,000 for EVs. This support will be introduced before the tax takes effect to support continued momentum in EV take-up.

The Government has set out the expected impacts from eVED and other Budget measures in the Budget 2025 Policy Costings document at GOV.UK: https://assets.publishing.service.gov.uk/media/692872fd2a37784b16ecf676/Budget_2025-Policy_Costings.pdf

Question to the Ministry of Housing, Communities and Local Government:

To ask the Secretary of State for Housing, Communities and Local Government, what estimate he has made of the administrative cost to local authorities of implementing the High Value Council Tax Surcharge from April 2028.

Answered by Alison McGovern - Minister of State (Housing, Communities and Local Government)

The Government has set out, in its guidance, that it will carry out a new burdens assessment to ensure local authorities are fully funded for these costs.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what assessment she has made of the potential impact of the VAT-recovery cap on the number of listed places of worship that are proceeding with planned repair or reordering works.

Answered by Ian Murray - Minister of State (Department for Science, Innovation and Technology)

DCMS Ministers received advice on changes to the Listed Places of Worship Grant Scheme, including consideration of the potential impact on introducing an annual cap of £25,000 per place of worship for the 2025/26 financial year.

The changes to the scheme were necessary given the level of fiscal challenges we inherited and the pressures on other parts of the heritage and cultural sectors. Based on the Department’s analysis of previous data, 94% of applications will be unaffected by the change, as most claims are under £5,000.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what steps she is taking to ensure there are sufficient rail services on alternative routes when planned maintenance works cause the closure of lines.

Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)

Network Rail plans its timetables 12 months in advance, meaning it can schedule in the time needed for planned works to improve the network. Network Rail plan works that cause the least disruption to passengers and include Bank Holidays, Sundays, and overnight when the network is less busy.

However, when planned engineering works necessitate the closure of lines, train operating companies provide alternative transport and travel arrangements to help passengers complete their journeys. Alternative transport provision may include rail replacement services, ticket acceptance on other routes/operators, or diverted trains.

Question to the Cabinet Office:

To ask the Minister for the Cabinet Office, if he will make it his policy to publish data relating to carbon offsetting for all government flights.

Answered by Chris Ward - Parliamentary Secretary (Cabinet Office)

The Government does not have a general policy of carbon offsetting flights.

Prime Ministerial flights are carbon offset where that is possible. The yearly payment to carbon offset flights using the G-GBNI aircraft is calculated at the end of each financial year based on the flights that have taken place to ensure accuracy.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what estimate she has made of the number of households in Fylde who will be brought into paying income tax or higher tax bands as a result of extending the freeze on income tax personal allowance.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The number of people forecast to pay tax by marginal rate can be found in Table 3.19 in the OBR’s November 2025 Economic and fiscal outlook – detailed forecast tables: receipts, linked below:

https://obr.uk/download/november-2025-economic-and-fiscal-outlook-detailed-forecast-tables-receipts/?tmstv=1764165511

Question to the Department for Energy Security & Net Zero:

To ask the Secretary of State for Energy Security and Net Zero, what replacement scheme will support energy efficiency for low-income households after ECO4 ends on 31 March 2026.

Answered by Martin McCluskey - Parliamentary Under Secretary of State (Department for Energy Security and Net Zero)

The government has committed to additional grant funding of £1.5bn which will be directed to upgrading low-income households, benefitting those in fuel poverty. This will take total Warm Homes Plan funding to around £15 billion; more details will be set out soon. The government continues to improve home energy efficiency through Warm Homes: Social Housing Decarbonisation, Warm Homes: Local Government and the ongoing Boiler Upgrade Scheme supporting thousands of households to upgrade their heating systems.

Question to the Department for Education:

To ask the Secretary of State for Education, if she will make an assessment of the potential merits of ringfencing receipts from the international student levy for funding in higher education and skills.

Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)

As set out in the Budget Document, the income raised by the Levy will be fully reinvested into higher education and skills, including to fund maintenance grants for disadvantaged students studying priority courses.

Question to the Department for Education:

To ask the Secretary of State for Education, what data her Department holds on school attendance rates in Fylde constituency.

Answered by Olivia Bailey - Parliamentary Under-Secretary of State (Department for Education) (Equalities)

The department publishes figures from the school census on pupil absence in England. The latest data covers the autumn and spring terms of the 2024/25 academic year and is published here: https://explore-education-statistics.service.gov.uk/find-statistics/pupil-absence-in-schools-in-england/2024-25-autumn-and-spring-term. Local authority data is available in the release. School level data is also available in this release and includes school identifiers that can be used to link the parliamentary constituency for the school using the ‘Get Information About Schools’ website: https://get-information-schools.service.gov.uk/. This absence release has been available since 23 October 2025.

Question to the Cabinet Office:

To ask the Minister for the Cabinet Office, pursuant to the Answer of 21 November 2025 to Question 91601 on Prime Minister: Climate Change Convention, on what basis possibility is assessed in respect of publishing offsetting data.

Answered by Nick Thomas-Symonds - Paymaster General and Minister for the Cabinet Office

Prime Ministerial flights are carbon offset where that is possible. This takes into account a range of factors. GBNI flights are carbon offset at the end of the financial year. Information about official overseas travel is published as part of the Cabinet Office transparency returns and made available on the GOV.UK website, in line with the approach of successive administrations.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, how many new enquiries were opened into child benefit claims which were suspended from claimants as a result of data-sharing between HMRC and the Home Office in the period 1st to 30th November 2025.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

There were no new Child Benefit compliance enquiries opened using Home Office international travel data in the period 1st to 30th November 2025. This is because our focus during that time was on reviewing the c. 23,500 already opened.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, if she will make an estimate of how many businesses in the Fylde constituency will be impacted by the pay per mile tax on electric and hybrid cars.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

As announced at Budget 2025, the Government is introducing Electric Vehicle Excise Duty (eVED) from April 2028, a new mileage charge for electric and plug-in hybrid cars, recognising that EVs contribute to congestion and wear and tear on the roads but pay no equivalent to fuel duty.

When eVED takes effect in April 2028, eVED rates will be set at 3p per mile for electric vehicles, which is half the equivalent fuel duty rate paid by the average petrol/diesel driver, ensuring that driving an electric vehicle continues to be an attractive choice for consumers. The rate will be set at 1.5p per mile for plug-in hybrids, recognising that they will continue to pay fuel duty on miles driven in petrol mode. An average EV driver driving 8,000 miles per year will pay around £240 per year or £20 per month.

As set out by the OBR, the estimated net impact of eVED and other Budget measures, including the ECG and ECS, is 120,000 fewer new EV sales across the forecast period. This is against a baseline which assumes EV sales more than triple from 2025-26 levels by 2030-31, which means the net impact of eVED represents only 2% of total new EV sales in the period.

The Government has set out expected impacts from eVED and other Budget measures in the Budget 2025 Policy Costings document at GOV.UK: https://assets.publishing.service.gov.uk/media/692872fd2a37784b16ecf676/Budget_2025-Policy_Costings.pdf

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, if she will make an estimate of the impact of the pay per mile tax on electric vehicle usage in the Fylde constituency.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

As announced at Budget 2025, the Government is introducing Electric Vehicle Excise Duty (eVED) from April 2028, a new mileage charge for electric and plug-in hybrid cars, recognising that EVs contribute to congestion and wear and tear on the roads but pay no equivalent to fuel duty.

When eVED takes effect in April 2028, eVED rates will be set at 3p per mile for electric vehicles, which is half the equivalent fuel duty rate paid by the average petrol/diesel driver, ensuring that driving an electric vehicle continues to be an attractive choice for consumers. The rate will be set at 1.5p per mile for plug-in hybrids, recognising that they will continue to pay fuel duty on miles driven in petrol mode. An average EV driver driving 8,000 miles per year will pay around £240 per year or £20 per month.

As set out by the OBR, the estimated net impact of eVED and other Budget measures, including the ECG and ECS, is 120,000 fewer new EV sales across the forecast period. This is against a baseline which assumes EV sales more than triple from 2025-26 levels by 2030-31, which means the net impact of eVED represents only 2% of total new EV sales in the period.

The Government has set out expected impacts from eVED and other Budget measures in the Budget 2025 Policy Costings document at GOV.UK: https://assets.publishing.service.gov.uk/media/692872fd2a37784b16ecf676/Budget_2025-Policy_Costings.pdf

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, if she has make an assessment of the potential impact of reforming business rates on small pubs and breweries.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

In April 2026, the Government will introduce permanently lower business rates multipliers for retail, hospitality, and leisure (RHL) properties with rateable values below £500,000. This permanent tax cut will ensure that eligible properties, including pubs, benefit from much-needed certainty and support. Breweries that are wholly or mainly open to visiting members of the public (for instance, mainly used as a bar or for providing tours to the public) will also benefit from the lower multipliers.

The final design, including the rates, for the new business rates multipliers will be announced at Budget 2025, so that the Government can factor the revaluation outcomes, as well as the broader economic and fiscal context, into decision-making. When the new multipliers are set, HM Treasury intends to publish analysis of the effects of the new multiplier arrangements.

Ahead of the new multipliers being introduced, the Government prevented RHL business rates relief from ending in April 2025, extending it for one year at 40 per cent up to a cash cap of £110,000 per business. Under the previous Government, RHL relief was due to end entirely in April 2025, and so by extending it, the Government has saved the average pub, with a ratable value of £16,800, over £3,300.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what data his Department holds on the prevalence of cleft palate syndrome in the UK; and what steps his Department is taking to raise awareness among (a) healthcare professionals and (b) the general public.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The Cleft Registry and Audit Network (CRANE) is a national register and clinical audit funded by NHS England to evaluate and report on the delivery of cleft services to children born with a cleft lip and/or palate in England, Wales, Northern Ireland, and Scotland. The 2024 Annual Report states that cleft lip and/or palate is a common condition, affecting one in 660 births and between 2021 and 2023, as 2,609 children were registered on CRANE, which is approximately 870 per year.

As part of their development activities, CRANE has previously linked with national educational data in England and found that attainment gaps exist between those with a cleft and the general population.

The Department, through the National Institute for Health and Care Research (NIHR), is currently funding a £2 million study to improve outcomes for individuals with cleft lip and/or palate by addressing variation in unmet needs.

This study aims to understand, and subsequently develop a tool to help address, the clinical, psychosocial, educational, and patient-reported needs of young adults with cleft lip and/or palate when they move from child to adult health services.

The NIHR continues to welcome funding applications for research into any aspect of human health, including cleft palate.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what information his Department holds on the long-term (a) health, (b) educational and (c) social outcomes of individuals born with cleft palate syndrome; and what steps his Department is taking to monitor these outcomes.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The Cleft Registry and Audit Network (CRANE) is a national register and clinical audit funded by NHS England to evaluate and report on the delivery of cleft services to children born with a cleft lip and/or palate in England, Wales, Northern Ireland, and Scotland. The 2024 Annual Report states that cleft lip and/or palate is a common condition, affecting one in 660 births and between 2021 and 2023, as 2,609 children were registered on CRANE, which is approximately 870 per year.

As part of their development activities, CRANE has previously linked with national educational data in England and found that attainment gaps exist between those with a cleft and the general population.

The Department, through the National Institute for Health and Care Research (NIHR), is currently funding a £2 million study to improve outcomes for individuals with cleft lip and/or palate by addressing variation in unmet needs.

This study aims to understand, and subsequently develop a tool to help address, the clinical, psychosocial, educational, and patient-reported needs of young adults with cleft lip and/or palate when they move from child to adult health services.

The NIHR continues to welcome funding applications for research into any aspect of human health, including cleft palate.

Question to the Department for Business and Trade:

To ask the Secretary of State for Business and Trade, what recent assessment he has made of the potential impact of Government support schemes on small business participation in Small Business Saturday.

Answered by Blair McDougall - Parliamentary Under Secretary of State (Department for Business and Trade)

I congratulate Small Business Britain on another excellent Small Business Saturday, during which the Government launched the new ‘Backing your Business’ campaign to drive uptake of the Business Growth Service and boost awareness of the Small Business Plan. We have been delivering on our promise to back SMEs across Britain.

This includes work to tackle late payments and cut the administrative costs of regulation saving SME owners time and money so they can focus on running successful businesses and continue to participate in important campaigns such as Small Business Saturday.

Question to the Department for Business and Trade:

To ask the Secretary of State for Business and Trade, what recent assessment his Department has made of the economic impact of Small Business Saturday on high streets and local economies.

Answered by Blair McDougall - Parliamentary Under Secretary of State (Department for Business and Trade)

The Department has not done, and does not plan to do an assessment of the economic impact of Small Business Saturday on high streets and local economies.

The Small Business Saturday campaign has done its own analysis; they suggest that Small Business Saturday could deliver a £5 billion boost for the sector. The Department has also launched its Backing Your Business campaign, designed to raise awareness of the support being provided to SMEs within the Small Business Plan, including on high streets and local economies.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment she has made of the adequacy of water infrastructure.

Answered by Emma Hardy - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

A record £104 billion of investment is planned for the water sector in the next investment cycle. This will provide the water supply and wastewater capacity to secure future water supplies, including nine new reservoirs and several large-scale water transfer schemes.

Question to the Home Office:

To ask the Secretary of State for the Home Department, how many illegal immigrants have been deported under the Dublin Convention.

Answered by Alex Norris - Minister of State (Home Office)

The Home Office publishes data on asylum in the ‘Immigration System Statistics Quarterly Release’. Data on the number of individuals transferred out of the UK under the Dublin regulation is published in the Dublin regulation detailed dataset (Dub_D01). Information on how to use the dataset can be found in the ‘Notes’ page of the workbook. The data relates up to the end of 2020, after which the UK was no longer subject to the Dublin regulation.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what assessment she has made of the effectiveness of the online Self Assessment Time to Pay system in reducing the number of late payment penalties.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

HMRC’s Time to Pay (TTP) arrangements help taxpayers to pay their liabilities in affordable and sustainable instalments. Late payment penalties do not apply provided the plan is agreed before penalty trigger dates and instalments are paid on time.

HMRC’s online TTP service for Self Assessment offers taxpayers the option to set up their own payment plans for Self Assessment debts up to £30,000. HMRC publishes data on TTP arrangements as part of its quarterly performance updates and in its Annual Report and Accounts. Over 90% of TTP arrangements are completed successfully, demonstrating their effectiveness in supporting compliance and reducing penalties.

Question to the Department for Education:

To ask the Secretary of State for Education, what recent discussions she has had with school governing bodies on improving transparency for parents.

Answered by Georgia Gould - Minister of State (Education)

The department’s governance guidance for schools and trusts makes clear that as publicly funded organisations, schools and trusts should foster a culture of transparency and welcome public scrutiny.

When shaping the school or trust’s vision, the governing body or trust board should remain connected and responsive to pupils, staff, parents, carers, and the wider community through meaningful engagement.

To promote transparency in decision-making, the governing body or trust board should actively seek and consider the views of parents and carers. Governing bodies and trust boards are required to have at least two parent governors/trustees.

To ensure transparency, details of governors/trustees are recorded on Get Information About Schools, and governance structures, governor/trustee register of pecuniary of interests and governance meeting attendance are published on the school’s or trust’s website.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what engagement she undertook with the pub and hospitality sector ahead of the 2025 Budget, particularly in the context of Business Rates.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

Treasury Ministers and officials engaged with a wide range of stakeholders across the pub and hospitality sector ahead of the Budget to discuss business rates.

We continue to engage with the hospitality sector to understand the pressures they face.

Question to the Department for Education:

To ask the Secretary of State for Education, what assessment she has made of the consistency of pupil experience between Key Stage 1 and Key Stage 2; and what steps she is taking to address declines in pupil motivation or engagement during the transition between these stages.

Answered by Georgia Gould - Minister of State (Education)

The department recognises that moving between key stages can be challenging for some children, including the transition from key stage 1 to key stage 2.

One of the ways the department is looking to understand the experiences of children is through our Educational Outcome Pathways Studies (EOPS). EOPS Primary follows children in primary school from years 1 through 6 and collects data on their experiences, progress at school and wellbeing. It also examines factors at home, at school and in the wider environment that may influence children’s attitudes, behaviours and outcomes. Children in the study are currently in year 3, which is the key stage 2 transition year.

Alongside this, the government has committed to publish a new pupil engagement framework, helping schools to identify and address aspects of the pupil experience in their setting which may be preventing children from attending, achieving and thriving. As it is developed, we will consider the evidence around effective practice that supports pupil transitions alongside other approaches that can support pupil engagement.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what recent discussions she has had with regional leaders on supporting tourism growth outside London.

Answered by Stephanie Peacock - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

DCMS is committed to ensuring that tourism contributes to growth and jobs across all parts of the country and particularly in coastal areas including Fylde, home to attractions including Lytham St Annes and the historic Lytham Hall.

A number of regional leaders are represented in the joint industry and Government-led Visitor Economy Advisory Council, which I co-chair. In this way, the views of regional leaders help to inform and shape Government policy. The Council is also helping to deliver the forthcoming sector growth plan which will set out a long term plan to increase visitor flows across the UK, boost value, and deliver sustainable growth.

The Lancashire Local Visitor Economy Partnership (LVEP), which includes the constituency of Fylde, works collaboratively with both local authority and private sector partners to communicate investment opportunities and to showcase Lancashire’s strengths as a place to live, work, study and invest in, as well as a premier destination for visitors.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether (a) families and (b) attorneys holding Power of Attorney are notified immediately when a DNR notice is added to a vulnerable adult’s medical record.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.

Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.

The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether guidance has been issued to NHS Trusts to ensure that DNR decisions are never made solely on the basis of disability, learning disability and special needs.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.

Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.

The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many complaints his Department has received in each of the last five years regarding DNR notices being applied without consent.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.

Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.

The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.